Healthcare Provider Details

I. General information

NPI: 1427968718
Provider Name (Legal Business Name): JASHA BENJAMIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5716 N 116TH CIR
OMAHA NE
68164-1428
US

IV. Provider business mailing address

4060 VINTON ST
OMAHA NE
68105-3862
US

V. Phone/Fax

Practice location:
  • Phone: 531-209-0315
  • Fax:
Mailing address:
  • Phone: 402-991-9880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: